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��1�Cin�cmc� .�2r .-/�s���j�-�`�� '' �9�'oa4l -s�.�-c�32f1 <br /> APPLICATII..d FOR CONSTRUC'Y .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> ❑ DEMOUTION ❑ COMBINATION �BUILDING ❑ MECHAiVICAL fl PLUMBING ❑ SIGN <br /> PROJECT ADDRESS 1 � <br /> OWNER MAI�RESS� �,������ w� PHONE <br /> �al. ,�5� ���3ZS .�t9n/f�v.c.9fi� /.'�� / {�—_�yw��l✓�Pi ��L'� C�nZ�7Y7-��b l�• <br /> TENANT MFIL�OORE55 r7 LITY —r 21P PHONE <br /> �02� oF ��.1�t/ y9z? f'r�srs.�e-, G✓.tiy��ClArza,�.�+-R �u/g / <br /> ARCHITECTORDESIGNER MRILAOOFE55 ITV ZIP PNONE�,l <br /> �Ci eF �L�'S S"�ZJ M�� A-hNc .A1/K�2sno�r�L/ �85JL-3 `70 !/ 7`�7' 6,�,�5� . <br /> GENER4LCONTRACTOR MAILA��fiE55 � CITV�ZIP PHpHG STATEUCENSE� <br /> MECHAkICALCONTAACTOA MRILAODRFSS pTV ZIP PHONE STATELICENSE� <br /> PLUMBINGCONiRACTOR M�ILAUORESS f,llY ZIP P410NE STATEIICENSEr <br /> CONTRACTPRILEOF WOR�� <br /> HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> DESCRIBE WORK AND SOUPRE FOOTAGE INVOLVEO WNTACT PERSON AN�PNONE N0. <br /> 18�7 S� T6r�,l�!- �w,o�cJ�we..�- ��-'�-¢.L SH1rJL `2 _ <br /> S�v�-..n.-��e. � �w�c.�, c.tG.� L7627 ?•o5'SS <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BVILUING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN CR � <br /> LEGALDFSCRIPTIONOFPROPERTY�SHOWNBE�OWORAiTACHTIYOLOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GiVE <br /> �or BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOC.4L LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTiON.THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIo PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAPCELTAX I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 29�200 WAC. <br /> r � <br /> CONSTRUCiION LOAN LENDER.ADORE55,TEIEPHONE Nl1MBEfl p�,�,��yy�(,LaO �O� _ <br /> SIG TURE ATE <br /> CITY BUSINESS��CENSE NO. <br /> � PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> � WATER CLOSET(TOILET) � A/C—AlHNDLG UNITS—H.P. � <br /> � BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. ; . <br /> . LAVATORY(WASH BASIN) � HEAT PUMP —� <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK& DISP ; CLOTHES DRYERS � <br /> -�— <br /> DISHWASHER � VENTILATION FAN ' <br /> - LAUNDRYTRAY ; RANGEHOOD � <br /> CLOTHES WASHER � WATER HEATER � <br /> URIIJAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i �.�ETAL FIREPLACE(WUOD BURNING) i <br /> FL/JOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ; <br /> BACKFLOW PREVENTERS i GAS FIREPLAI:E �_ <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE ' <br /> � GAS PIPING � <br /> i EXHAUSTFAN � <br /> — � � <br /> - � � <br /> � ' <br /> � ' <br /> SUBTOTAL S ; SUBTOTAL S ; <br /> � PERMIT 5 � PEP.MIT S � <br /> TOTALFEE $ � TOT.ALFEE S ' <br /> FOR OFFICE 11SE ONLY: <br /> FRONT SETHPCK REAR SETOACN SIDE SETBACN PU'.N CHEC ��h�1ER/ FEE��r /� FECEI�NO._ � <br /> � L u' ��r� <br /> usezoNe LOTAREA vncnNT=ire FEES VALUATION FEE <br /> ❑res ❑ No em.oiNc o 3�a �SL� <br /> I HEIGNT LIMITATION N0.OP DWEI!"�G SICE OF BL�GRI. � <br /> i <br /> I' UNITS ��y, �-�+/ PLUMOING �_ <br /> 1 <br /> i <br /> �. OCGIIPANCV NO.OFSTOPIES OCCUPANTLOA� BASEMENT MECHANICF� i <br /> GROUP� I �R <br /> i — ..r, ❑VES �NO � <br /> FIREALABMREO'D flEASOV � AODIPONALPLANCNECK � _ <br /> '(�' �,y/`ry''�V i <br /> '1�'f �'<T1�V�l N`�'�'/VlCfIV'.,�j' OTHE� ? <br /> FIRE SPRINKLER REQb REA50N � <br /> 1A/� ��illr /10l']�N��,{�i STATEBl11L01NGSURCIIARGE � �s�(� <br /> �// /lC.. V/�Y ✓ <br /> � <br /> TYPEOPCONST PV.NSAPPROVEDBY CITYOFEVERETT POBUCWORKS ; <br /> �M LOC�L SALES ; <br /> �1 DATE / �JG,7� TAX CODE IS 3105 TOTAL � <br />